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使用左乳内动脉的非体外循环长段覆盖式旁路移植术治疗弥漫性冠状动脉疾病。

Off-pump long onlay bypass grafting using left internal mammary artery for diffusely diseased coronary artery.

作者信息

Takanashi Shuichiro, Fukui Toshihiro, Hosoda Yasuyuki, Shimizu Yoshihiro

机构信息

Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Matsudo City, Chiba, Japan.

出版信息

Ann Thorac Surg. 2003 Aug;76(2):635-7. doi: 10.1016/s0003-4975(02)05024-5.

DOI:10.1016/s0003-4975(02)05024-5
PMID:12902131
Abstract

Surgical treatment of a diffusely diseased coronary artery has been considered a relative contraindication for off-pump coronary artery bypass grafting. To our knowledge, long onlay-patch grafting with off-pump coronary artery bypass grafting has not been described. Two sets of Octopus 3 tissue stabilizers were placed longitudinally along the target coronary artery. This allowed us to perform surgical angioplasty and bypass grafting without cardiopulmonary bypass support (double Octopus technique). We report our early experience with off-pump long onlay bypass grafting in patients with a diffusely diseased coronary artery using double Octopus tissue stabilizers. Diffusely diseased coronary artery; off-pump coronary artery bypass grafting; coronary artery reconstruction; coronary artery bypass grafting; onlay patch anastomosis

摘要

弥漫性病变冠状动脉的手术治疗一直被认为是非体外循环冠状动脉旁路移植术的相对禁忌证。据我们所知,尚未有关于非体外循环冠状动脉旁路移植术采用长补片移植的报道。将两组章鱼3型组织稳定器沿目标冠状动脉纵向放置。这使我们能够在没有体外循环支持的情况下进行手术血管成形术和旁路移植术(双章鱼技术)。我们报告了使用双章鱼组织稳定器对弥漫性病变冠状动脉患者进行非体外循环长补片旁路移植术的早期经验。弥漫性病变冠状动脉;非体外循环冠状动脉旁路移植术;冠状动脉重建;冠状动脉旁路移植术;补片吻合术

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1
Off-pump long onlay bypass grafting using left internal mammary artery for diffusely diseased coronary artery.使用左乳内动脉的非体外循环长段覆盖式旁路移植术治疗弥漫性冠状动脉疾病。
Ann Thorac Surg. 2003 Aug;76(2):635-7. doi: 10.1016/s0003-4975(02)05024-5.
2
Off pump long-onlay-patch angioplasty to the LAD using the left internal mammary artery.使用左乳内动脉对左前降支进行非体外循环下长补片血管成形术。
Heart Surg Forum. 2003;6(5):380-1.
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The effects of on-pump and off-pump coronary artery bypass grafting on intraoperative graft flow in arterial and venous conduits defined by a flow/pressure ratio.体外循环和非体外循环冠状动脉旁路移植术对通过流量/压力比定义的动脉和静脉血管桥术中血管桥血流的影响。
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Risk factors for wound infection after off-pump coronary artery bypass grafting: should bilateral internal thoracic arteries be harvested in patients with diabetes?非体外循环冠状动脉旁路移植术后伤口感染的危险因素:糖尿病患者是否应双侧取乳内动脉?
J Thorac Cardiovasc Surg. 2008 Mar;135(3):540-5. doi: 10.1016/j.jtcvs.2007.11.008.
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Comparison of coronary bypass surgery with and without cardiopulmonary bypass in patients with multivessel disease.多支血管病变患者进行冠状动脉搭桥手术时体外循环使用与不使用的比较。
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Off-pump onlay-patch grafting using the left internal mammary artery for a diffusely diseased left anterior descending artery: in-hospital and mid-term outcomes.使用左乳内动脉对弥漫性病变的左前降支进行非体外循环下原位搭桥术:住院期间及中期结果。
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Off-pump coronary artery bypass grafting with use of the octopus 2 stabilization system.使用章鱼2稳定系统的非体外循环冠状动脉搭桥术。
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In-hospital outcomes of off-pump multivessel total arterial and conventional coronary artery bypass grafting: single surgeon, single center experience.非体外循环多支血管全动脉化与传统冠状动脉旁路移植术的院内结局:单中心单术者经验
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Baseline flow in coronary bypass grafts.冠状动脉搭桥移植血管的基线血流
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引用本文的文献

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Onlay grafting with or without coronary endarterectomy maintains long-term favorable anastomotic remodeling regardless of the graft materials used.无论是否进行冠状动脉内膜切除术,采用覆盖移植术均可维持长期良好的吻合口重塑,而与所使用的移植材料无关。
JTCVS Open. 2024 Nov 26;23:157-170. doi: 10.1016/j.xjon.2024.11.007. eCollection 2025 Feb.
2
Intimal regeneration after coronary endarterectomy and onlay grafting in coronary artery bypass grafting.冠状动脉内膜切除术及冠状动脉旁路移植术中补片移植后的内膜再生。
Gen Thorac Cardiovasc Surg. 2019 Aug;67(8):677-683. doi: 10.1007/s11748-019-01083-w. Epub 2019 Feb 21.
3
Segmental clamp and distal perfusion technique for reducing myocardial ischemia during coronary onlay grafting on a beating heart.
节段性夹闭与远端灌注技术在心脏不停跳下冠状动脉搭桥术中减少心肌缺血的应用
Surg Today. 2018 May;48(5):566-570. doi: 10.1007/s00595-017-1623-6. Epub 2018 Jan 9.
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Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery Using Left Internal Thoracic Artery with Extensive Endarterectomy.使用左胸廓内动脉并进行广泛内膜切除术对弥漫性病变的左前降支冠状动脉进行长节段重建。
Korean J Thorac Cardiovasc Surg. 2015 Aug;48(4):285-8. doi: 10.5090/kjtcs.2015.48.4.285. Epub 2015 Aug 5.